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Evidence-based Practice and Community Metrics

Evidence-based Practice and Community Metrics. Jan Figart, MS, RN Community Service Council. Home Visitation Model. The Adverse Childhood Experiences (ACE) Study. Major American research project that poses the question of whether and how childhood experiences affect adult health decades later

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Evidence-based Practice and Community Metrics

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  1. Evidence-based Practice and Community Metrics Jan Figart, MS, RN Community Service Council

  2. Home Visitation Model

  3. The Adverse Childhood Experiences (ACE) Study • Major American research project that poses the question of whether and how childhood experiences affect adult health decades later • Provides compelling evidence that: • Adverse childhood experiences are surprisingly common • ACE’s happen even in “the best of families” • ACE’s have long-term, damaging consequences • Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults Child Indicators Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

  4. The Adverse Childhood Experiences (ACE) Study Pyramid Death Child Indicators Conception Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

  5. Adverse Childhood Experiences… …growing up in a household with: • Recurrent physical abuse • Recurrent emotional abuse • Sexual abuse • An alcohol or drug abuser • An incarcerated household member • Someone who is chronically depressed, suicidal, institutionalized or mentally ill • Mother being treated violently • One or no parents • Emotional or physical neglect Child Indicators Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

  6. …Lead to Health-Risk Behaviors… • Smoking • Overeating • Physical inactivity • Heavy alcohol use • Drug use • Promiscuity Child Indicators Source: The Adverse Childhood Experiences Study website: www.acestudy.org

  7. …Which Cause Disease, Disability and Social Problems in Adulthood • Heart disease • Cancer • Chronic lung and liver disease • Stroke • Diabetes • Sexually transmitted diseases • Nicotine addiction • Alcoholism • Drug addiction • Obesity • Depression • Suicide • Injuries • Unintentional pregnancy Child Indicators Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

  8. Child Indicators

  9. Child Indicators Prepared by the Community Service Council of Greater Tulsa

  10. Child Indicators

  11. Child Indicators

  12. Child Indicators

  13. Crime & Incarceration Prepared by the Community Service Council of Greater Tulsa

  14. HEALTH INDICATORS

  15. HEALTH INDICATORS

  16. HEALTH INDICATORS

  17. Home Visitation Model

  18. Social Determinant Model

  19. Demographics Prepared by the Community Service Council of Greater Tulsa

  20. Demographics

  21. Demographics

  22. ECONOMICS & EMPLOYMENT

  23. Economics & Employment

  24. Economics & Employment

  25. Economics & Employment

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